Organization
PINE CITY AREA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK A MCMAHON CPA (CEO)
(320) 629-6721
Entity
Organization
Contact information
Practice address
510 2ND ST SE, PINE CITY, MN 55063-1706
(320) 629-6721
(320) 629-1097
Mailing address
510 2ND ST SE, PINE CITY, MN 55063-1706
(320) 629-6721
(320) 629-1097
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52757PI
BC/BS
MN
Enumeration date
10/04/2006
Last updated
04/20/2008
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